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unit 201r EAGAN 3830 PILOT KNOB ROAD I EAGAN; MN 55122-1810 (651) 675-5675 I FAX: (651) 675-5694 Email: buildinginspections@cityofeagan.com For Office Use Permit #: 491g5 Permit Fee: Date Received: Staff: 2021 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: Site Address: 1510 Thomas Lk Pt Rd #201 Tenant: Suite #: r Resident/Owner Name: Nationwide Housing Corp Phone: 763-231-5280 Address i city zip: 6200 Shingle Creek Pkwy #300 Brooklyn Center 55430 Contractor Name: Heating & Cooling Two, Inc. Address: 18550 Ct Rd 81 License #: MB003401 City: Maple Grove State: MN Zip: 55369 Contact: Linda Locke Phone: 763-428-3677 Email: permit@heatcool2.com RESIDENTIAL Permit TYpe Furnace Air Conditioner Air Exchanger Heat Pump Other Type of Work New ✓ Replacement Additional Description of work: Replace Air Conditioner Alteration Demolition RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge = $ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on www.cityofeagan.comtsubscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work with the approved plan in the case of work which requires a review and approval of plans. )(Linda Locke Applicant's Printed Name )( the City's website at codes of the City of will be in accordance Applicant's Signature FOR OFFICE USE Required Inspections:. Underground Rough In - AirTest Gas Service Test d' By: In -floor H Date: